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Form 5500 · Employee benefit plan · DAYTON, OH

PROVIDENCE MEDICAL GROUP, INC.

PROVIDENCE MEDICAL GROUP, INC. of DAYTON, OH files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Coverage is written through EMPOWER ANNUITY INSURANCE COMPANY OF AMERICA. The plan's most recent policy period ended in December.

Benefits broker of record
Not disclosed
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 42-1534506 · plan 001 · as of Jul 2026

Participants
200
Carriers on file
1
Disclosed commissions
$0
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
EMPOWER ANNUITY INSURANCE COMPANY OF AMERICA24December$0

Questions

What insurance carrier does PROVIDENCE MEDICAL GROUP, INC. use?

PROVIDENCE MEDICAL GROUP, INC.'s benefit plan is written through EMPOWER ANNUITY INSURANCE COMPANY OF AMERICA.

When does PROVIDENCE MEDICAL GROUP, INC.'s group plan renew?

The most recent Schedule A policy period for PROVIDENCE MEDICAL GROUP, INC. ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from PROVIDENCE MEDICAL GROUP, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.